Organization Name: | HOPE ADVANCEMENT OF TEXAS, INC |
NPI Number: | 1104196617 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEMETRIUS CRAYTON (OWNER/BOARD MEMBER) |
Mailing Address: | 610 Uptown Blvd 2000 Cedar Hill |
State: | TX US |
Postal Code: | 751043527 |
Phone Number: | 7049563062 |
Fax Number: | 7044962088 |
NPI Enumeration Date: | 01/01/2012 |
NPI Last Update Date: | 01/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |